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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004625naa a2200697 4500
001oai:lup.lub.lu.se:2ef87d9c-51d5-4d07-a1bf-ffdb8aeeb76e
003SwePub
008160401s2007 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:12012870
024a https://lup.lub.lu.se/record/6644722 URI
024a https://doi.org/10.1016/S0140-6736(07)60852-62 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:120128702 URI
040 a (SwePub)lud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a art2 swepub-publicationtype
072 7a ref2 swepub-contenttype
100a Villa, L.4 aut
2451 0a Effect of prophylactic human papillomavirus L1 virus-like-particle vaccine on risk of cervical intraepithelial neoplasia grade 2, grade 3, and adenocarcinoma in situ: a combined analysis of four randomised clinical trials
264 1c 2007
520 a Background Cervical cancer and its obligate precursors, cervical intraepithelial neoplasia grades 2 and 3 (CIN2/3), and adenocarcinona in situ (AIS), are caused by oncogenic human papillomavirus (HPV). In this combined analysis of four clinical trials we assessed the effect of prophylactic HPV vaccination on these diseases. Methods 20 583 women aged 16-26 years were randomised to receive quadrivalent HPV6/11/16/18 vaccine (n=9087), its HPV16 vaccine component (n=1204), or placebo (n=10292). They underwent periodic Papanicolaou testing, with colposcopy or biopsy for detected abnormalities. The primary composite endpoint was the combined incidence of HPV16/18-related CIN2/3, AIS, or cervical cancer. These trials are registered at ClinicalTrials.gov, numbers NCT00365378, NCT00365716, NCT00092521, and NCT00092534. Findings Mean follow-up was 3.0 years (SD 0.66) after first dose. In women negative for HPV16 or HPV18 infection during the vaccination regimen (n=17129, per protocol), vaccine efficacy was 99% for the primary endpoint (95% Cl 93-100), meeting the statistical criterion for success. In an intention-to-treat analysis of all randomised women (including those who were HPV16/18 naive or HPV16/18-infected at day 1), efficacy was 44% (95% Cl 31-55); all but one case in vaccine recipients occurred in women infected with HPV16 or HPV18 before vaccination. In a second intention-to-treat analysis we noted an 18% reduction (95% CI 7-29) in the overall rate of CIN2/3 or AIS due to any HPV type. Interpretation Administration of HPV vaccine to HPV-naive women, and women who are already sexually active, could substantially reduce the incidence of HPV16/18-related cervical precancers and cervical cancer.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Mikrobiologi inom det medicinska området0 (SwePub)301092 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Microbiology in the medical area0 (SwePub)301092 hsv//eng
700a Perez, G.4 aut
700a Kjaer, S.4 aut
700a Lehtinen, M.4 aut
700a Paavonen, J.4 aut
700a Munoz, N.4 aut
700a Sigurdsson, K.4 aut
700a Hernandez-Avila, M.4 aut
700a Iversen, O. E.4 aut
700a Thoresen, S.4 aut
700a Garcia, P.4 aut
700a Majewski, S.4 aut
700a Tay, E. H.4 aut
700a Bosch, F. X.4 aut
700a Dillner, Joakimu Karolinska Institutet,Lund University,Lunds universitet,Klinisk mikrobiologi, Malmö,Forskargrupper vid Lunds universitet,Clinical Microbiology, Malmö,Lund University Research Groups4 aut0 (Swepub:lu)mikr-jdi
700a Olsson, S. E.u Karolinska Institutet4 aut
700a Ault, K.4 aut
700a Brown, D.4 aut
700a Ferris, D.4 aut
700a Giuliano, A.4 aut
700a Koutsky, L.4 aut
700a Kurman, R.4 aut
700a Myers, E.4 aut
700a Barr, E.4 aut
700a Boslego, J.4 aut
700a Bryan, J.4 aut
700a Esser, M.4 aut
700a Hesley, T.4 aut
700a Lupinacci, L.4 aut
700a Railkar, R.4 aut
700a Sings, H.4 aut
700a Taddeo, F.4 aut
700a Thornton, A.4 aut
710a Klinisk mikrobiologi, Malmöb Forskargrupper vid Lunds universitet4 org
773t The Lancetg 369:9576, s. 1861-1868q 369:9576<1861-1868x 1474-547X
856u http://dx.doi.org/10.1016/S0140-6736(07)60852-6y FULLTEXT
8564 8u https://lup.lub.lu.se/record/664472
8564 8u https://doi.org/10.1016/S0140-6736(07)60852-6
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:12012870

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